Engineering Survey Form

PermitZIP Survey Report

Full MEP
Project e-Mail (insightly)
PROJECT INFORMATION
Surveyor

First NameLast Name
Client

First NameLast Name
Company
Company Name
Project Name
Project Number
Date of Survey

MonthDayYear
Project Overview
Project Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Occupancy
# of people allowed
ELECTRICAL
Existing service:

Other
Proposed new service:

Other
Proposed New Service Ampacity:
Panel Boards
Lighting Voltage

Other
Preferred method for egress lighting

Other
Brief description of the scope:
PLUMBING
Sanitary Point of Connection
Clean Out Locations
Water Point of Connection
Gas Point of Connection
New Sanitary Piping

Other
New Domestic Water Piping

Other
New Back Flow Preventer Required?
Primarily Flush Valve or Flush Tank Fixtures?
Gas type

Other
Plumbing Fixtures
Plumbing Equipment
Branch Venting Methods
Stacks/Risers
Gas Meter Capacity
Gas Pressure Regulator Rating
Domestic Water System Notes
Sanitary System Notes
Gas Piping System Notes
MECHANICAL EQUIPMENT
Existing Mechanical Equipment
Proposed Mechanical Equipment
Other Mechanical Equipment
Notes about mechanical scope:
Tstat Locations:
Notes about structure:
Natural Ventilation Study
PENETRATION TYPES

Penetration Types

Rows	WOOD FLOORS	CONCRETE FLOORS	CONCRETE OR BLOCK WALLS	GYPSUM WALLS
METAL PIPES < 2"
METAL PIPE < 4"
NON-METALLIC PIPES < 2"
NON-METALLIC PIPES < 4"
BUNDLED CABLES < 2"
BUNDLED CABLES < 4"
INSULATED PIPES < 2"
INSULATED PIPES < 4"
NON-INSULATED MECHANICAL DUCTWORK
INSULATED MECHANICAL DUCTWORK
MIXED PENETRANTS

PROJECT SETUP
SITE PLAN
FLOOR PLANS
HOW MANY FLOORS?
Roof Plan?
FIRE PENETRATION TYPES:
Plumbing Details
SPECIFICATIONS TO BE INCLUDED
ELECTRICAL
MECHANICAL
Should be Empty: